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Individual
ROMAN FEDIN
Active
Individual
ROMAN FEDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60285814
WA
101YM0800X
Mental Health Counselor
Primary
MC61024564
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077844
—
WA
Enumeration date
09/13/2019
Last updated
11/09/2022
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